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1275637639
TANGELLA E RUSSELL
FAYETTEVILLE, GA
NPI
1275637639
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Former Name
TANGELLA E SNEED
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN 116405)
Enumeration Date
2006-09-07
Last Update Date
2010-09-15
Business Address
-- TANGELLA E RUSSELL CNP
1267 HIGHWAY 54 W SUITE 2200
FAYETTEVILLE, GA 30214-2114
Phone number: 770-716-0051
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Mailing Address
-- TANGELLA E RUSSELL CNP
20 FRANCIS WAY SUITE 101
SHARPSBURG, GA 30277
Phone number: 770-253-0611
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